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Youth Directory Submission

Thank you for filling out the information below.  This will assist us in having currrent information and a better idea of our numbers in the Youth program at Westminster Presbyterian Church.  If you have more than 1 youth, there are space below for their specific information as well.  Thank you for your help!

Youth Directory:

*

Youth Name

*

Status
Active - participate at least once a month

(1 required)
Active   Inactive
*

Address

*

Zip

*

Parent Names

Parent Address if different

*

Home Phone

Youth Cell Phone

Mother's Cell Phone

Father's Cell Phone

Parent Email

Parent Email

Youth Email

*

Birthday

*

School

*

Grade

Youth #2 Name

Status

Active   Inactive

Youth #2 Cell Phone

Youth #2 Email

Youth #2 Birthday

Youth #2 School

Youth #2 Grade

Youth #3 Name

Status

Active   Inactive

Youth #3 Cell Phone

Youth #3 Email

Youth #3 Birthday

Youth #3 School

Youth #3 Grade

Youth #4 Name

Status

Active   Inactive

Youth #4 Cell Phone

Youth #4 Email

Youth #4 Birthday

Youth #4 School

Youth #4 Grade

* Enter Your Email Address:

Type in the text that you see above:

  

Youth Ministry
  • Youth Directory Submission
Westminster Presbyterian Church
3208 Exposition Boulevard — Austin, Texas 78703-1200
Phone 512-459-5497 — Fax 512-459-5498 — Email
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